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Certification of Trust by Trustee(s)

(California Probate Code 18100.5)


Complete this form online and click the "Print" button at the bottom when finished. Mail or hand-deliver this completed form to Star One Credit Union, P.O. Box 3643, Sunnyvale, CA 94088-3643 Attn: Beneficiary/Retiree Services.

Star One Credit Union
Attn: Beneficiary/Retiree Services
P.O. Box 3643
Sunnyvale CA 94088-3643

Certification of Trust by Trustee(s)

TO: Star One Credit Union

The undersigned, being all the currently acting trustees of the

certify or certifies as follows:

  1. Creation of Trust. The trust was created on ,

    as the settler[s], under a declaration of trust or trust agreement executed on that date.

  2. Trustees. All the currently acting trustees of the trust are:  .

  3. Signature Authority. (One box must be checked)
    , or

  4. Revocability of Trust. (One box must be checked)
    The power to revoke the trust is held by the settler(s) named below:
    [Specify ALL settler(s) with Revocation authority]

  5. Powers of Trustee. (Check applicable box)

  6. Tax Identification Number. .

  7. Title to trust assets should be taken in the following form:
    [Specify, for example ''Mr. Smith and Mrs. Smith, Trustees, of the SMITH FAMILY REVOCABLE TRUST''].

  8. No Revocation, Modification, or Amendment. The trust has not been revoked, modified, or amended in any manner that would cause the representations contained in this Certification of Trust to be incorrect.

  9. Signed by All Currently Acting Trustees. This Certification of Trust is being signed by all of the currently acting trustees of the trust.

  10. Accuracy. This Certification of Trust is a true and correct statement of the matters referred to herein.

  11. Reliance on This Certification/Hold Harmless. This Certification of Trust is made in accordance with California Probate Code § 18100.5.  Any transaction entered into by a person acting in reliance on this Certification of Trust shall be enforceable against the trust assets.  The Credit Union may act in reliance upon this Certification of Trust and is not liable to any person for so acting unless it has actual knowledge that the representations contained herein are incorrect.  The person(s) executing this Certification of Trust agree to indemnify and hold the Credit Union, its directors, officers, employees and agents free and harmless from any and all suits, claims, demands, or other remedies or damages resulting from its reliance upon this Certification of Trust including the payment of costs and attorneys' fees.

    I (We) declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

[Signature of Trustee]

[Signature of Trustee]

[Signature of Trustee]

[Signature of Trustee]


State of California
County of



Notary Acknowledgment

On __________________________before me, _______________________________, Notary Public, personally appeared __________________________ who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of  which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature ___________________________

(Place Notary Seal Above)